Question 17 marks
Question
The sinoatrial node (SAN) and the atrioventricular node (AVN) have an important role in the control of the cardiac cycle. The timing of atrial and ventricular systole and diastole must be controlled so that blood passes through the heart efficiently. (a) Fig. 1.1 is a summary of blood flow through the right side of the heart during one cardiac cycle. Three boxes in Fig. 1.1 are not complete. Complete boxes 3, 5 and 7 in Fig. 1.1 using only the terms systole and diastole. 1 blood arrives at the heart in the superior vena cava and inferior vena cava 2 blood passes into the right atrium 3 atrial …… ventricular …… 4 blood is forced into the right ventricle 5 atrial …… ventricular …… 6 blood leaves the right ventricle to enter the pulmonary arteries 7 atrial …… ventricular …… Fig. 1.1 [2] (b) Impulses sent out by the SAN pass to the AVN, where there is a short delay. With reference to Fig. 1.1, explain why it is important for the control of the cardiac cycle that there is a short delay at the AVN after impulses have been sent out by the SAN. …… [2] (c) Changes in blood pressure occur in the heart during the cardiac cycle. These changes cause the opening and closing of the bicuspid and tricuspid (atrioventricular) valves and the aortic and pulmonary (semilunar) valves. Explain how blood pressure changes: • cause the opening of the tricuspid valve • cause the opening of the pulmonary valve • help the flow of blood through the heart. …… [3] [Total: 7]
Mark scheme
1(a) 3 = (atrial) systole 2 (ventricular) diastole ; 5 = (atrial) diastole (ventricular) systole 7 = (atrial) diastole ; (ventricular) diastole 1(b) allow responses in context of both sides or one side of heart 2 any two from: atria and ventricles, do not contract / are not in systole, at the same time ; AW ventricles, contract / are in systole, after atria ; AW ora idea that allows atria to empty (completely) / allows ventricles to fill ; A idea that (all) blood, pumped / AW, into ventricles (ready for systole) 1(c) opening of tricuspid valve 3 pressure in (right) ventricle becomes lower than pressure in (right) atrium or pressure in (right) atrium becomes higher than pressure in (right) ventricle ; opening of pulmonary (semilunar) valve pressure in (right) ventricle becomes higher than pressure in pulmonary artery or pressure in pulmonary artery becomes lower than pressure in (right) ventricle ; if mp1 and 2 have correct ideas but not referred to pressures on both ‘sides’ of the valve, allow one mark for idea of, increasing / high, pressure opening each of the valves help flow of blood through the heart any two from: one-way flow of blood / prevents backflow of blood / directs blood in correct direction / blood flows in one direction / AW ; A blood flows from atrium to ventricle to, pulmonary artery / lungs blood flows from (area of) higher pressure to (area of) lower pressure ; idea that (blood) pressure changes aid coordination ; e.g. semilunar valve is open (about same time) when tricuspid valve is shut